Aifa Alvarez MIAMIDADE OUTSIDE EMPLOYMENT STATEMENT
® For Full-time County and Municipal Employees
FULL-TIME COUNTY AND MUNICIPAL EMPLOYEES'ENGAGING IN OUTSIDE
EMPLOYMENT MUST FILE AN ANNUAL DISCLOSURE REPORT BY JULY Disclosure for
1ST OF EACH YEAR IN ACCORDANCE wrm SECTION 2-11.1(1)(2) OF Tax Year Ending: C) 1
THE IUwAI-DADE COUNTY CODE.
Name: Last First Middle
Filing as a(check one): ❑ Miami-Dade County Employee
Munidpal Employee of: I� 0 .
Position Title:
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County/Municipal Department: County/Mu icipal Division:
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If your ome address is exempt from public records pursuant Work Tei one:
to Florida Statutes§ 119.07, please check here:❑ 3 �S������G� 58 �
Mauling Address (Street Name and Number) Apt.
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City State Zip Code
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Please list the sournes.of outside employment,the nature of the work and the amounts of money or other
compensation you received. rf continued on a separate sheet,please check here: ❑
Name and Address of the Source of Nature of the Work Amount of Money or
Outside Income Performed Compensation Received
A NA Ir "4 ` q j j-/j
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I hereby suiar(or affirm)that the aaforesaaid information is a true and convict statement.
Signature of Person Disclosi Dot Sig l